MEASURING HEALTHCARE DIGITALISATION IN THE EUROPEAN UNION: TRENDS AND CHALLENGES

Ramona Orăștean, Raluca Sava, S. Mărginean
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Abstract

E-health represents an important tool for improving quality and accessibility of healthcare for citizens. The EU4Health is the core health policy for 2021-2027 in European Union and one key dimension in the implementation of this program is digitalisation. The purpose of our study is to show the differences and progress among the EU member states in e-health adoption and healthcare digitalisation. The premise of the research is that the indicators used in most available studies are relevant for the first stage of the e-health adoption, and there are many focused on specific areas or age groups. In this context, we aim to provide a deeper and broader image on e-health adoption and healthcare digitalisation in EU countries, by analysing 4 indicators for the period 2016-2022: seeking online information about health, making an appointment with a practitioner via a website, accessing personal health records online, using internet for other health services via a website or app instead of having to go to the hospital or visit a doctor. These were selected considering the literature and data availability. The conclusion is that internet use for health-related purposes lags the use for other personal services. Also, the internet use is a necessary but not a sufficient condition for accessing healthcare services online. Although the trends are similar, there are still significant differences among EU countries related to the e-health adoption, and catch-up national policies could be the answer to the main challenge - avoiding the digital divide in health services.
衡量欧盟医疗保健数字化:趋势与挑战
电子保健是提高公民保健质量和可及性的重要工具。EU4Health是欧盟2021-2027年的核心卫生政策,该计划实施的一个关键方面是数字化。我们研究的目的是显示欧盟成员国在电子医疗采用和医疗数字化方面的差异和进展。这项研究的前提是,大多数现有研究中使用的指标与采用电子保健的第一阶段相关,而且有许多研究侧重于特定领域或年龄组。在此背景下,我们的目标是通过分析2016-2022年期间的4个指标,提供欧盟国家电子医疗采用和医疗数字化的更深入和更广泛的形象:寻求在线健康信息,通过网站与医生预约,在线访问个人健康记录,通过网站或应用程序使用互联网进行其他健康服务,而不必去医院或去看医生。这些选择考虑文献和数据的可用性。结论是,与健康相关的互联网使用落后于其他个人服务的使用。此外,使用互联网是在线获取医疗保健服务的必要条件,但不是充分条件。尽管趋势相似,但欧盟国家之间在采用电子卫生保健方面仍存在显著差异,追赶的国家政策可能是应对主要挑战的答案——避免卫生服务中的数字鸿沟。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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